Provider Demographics
NPI:1720098858
Name:NAVEED, SYED (MD,)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:
Last Name:NAVEED
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 E WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4047
Mailing Address - Country:US
Mailing Address - Phone:630-495-3902
Mailing Address - Fax:
Practice Address - Street 1:17 W 434 ROSEVELT RD
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRECE
Practice Address - State:IL
Practice Address - Zip Code:60181
Practice Address - Country:US
Practice Address - Phone:630-279-6033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-1008012084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-100801Medicaid